African health sciences最新文献

{"title":"Incidence of post-partum complications and referrals of mothers and neonates to hospitals from a Midwife Obstetric Unit","authors":"Akm Monjurul Hoque, S. Buckus, M. Hoque","doi":"10.4314/ahs.v24i2.27","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.27","url":null,"abstract":"Background: The successful implementation of obstetric care should identify the maternal and foetal complications and refer to higher healthcare facilities in saving their lives. The study aimed to estimate the maternal and foetal complications risk factors during post-partum. \u0000Method: A retrospective cohort study was undertaken at a midwife obstetric unit among all women who had childbirths from January 2018 to October 2019. Regression analysis was used to predict risk factors. \u0000Results: The maternal and neonatal complications were 5.9% and 6.7% respectively. Regression analysis showed that mothers did not have antenatal care (ANC) were 2.8 times (OR=2.8, 95% CI: 1.5:5.4, p=0.001) and six times (OR=5.9, 95% CI; 2.7:12.5, p=0.000) more likely to have maternal and neonatal complications respectively. Gestational age < 32 weeks 19.0 times, (OR=19.0, 95% CI; 9.3:39.0, p=0.000) and 32-36 weeks, 4.6 times (OR=4.6, 95% CI; 2.5:9.4.0, p=0.000) more likely to have neonatal complications. Mothers without syphilis was 63% (OR=.37, 95% CI; .14:.97, p=0.04) less likely to have neonatal complications. \u0000Conclusion: Maternal and neonatal complication rates were comparable with others of similar settings. Pregnant women should be educated on the importance of ANC and strategies should be considered for improving ANC uptake and care to reduce maternal and neonatal complications. \u0000Keyword: Antenatal care; gestational age; syphilis.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"89 s377","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Birth preparedness and its association with place of delivery among women in rural and urban communities of Ogun east senatorial district Nigeria","authors":"Ngozi O Adefala, T. Ashipa, Kolawole J Sodeinde, Fikayo E Bamidele, Adebola Y Omotosho, Abiodun O Osinaike, Chimaobi C Nwankpa","doi":"10.4314/ahs.v24i2.23","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.23","url":null,"abstract":"Background: Birth preparedness promotes the timely use of skilled maternal and neonatal care, reduces delays in receiving care; reduces maternal death, and ensures women have professional delivery thus reducing obstetric complications. Making the right decisions regarding the place of delivery influences the outcome of labour and childbirth. \u0000Objectives: To assess the practice of birth preparedness and its association with the place of delivery among women in rural and urban communities of Ogun East Senatorial District. \u0000Methods: A comparative cross-sectional study was carried out among 750 women in the rural and urban communities selected using a multistage sampling technique. An interviewer-administered, structured questionnaire adapted from the safe motherhood questionnaire of the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO) and the Nigeria Demographic Health Survey (NDHS) 2018 was used. Data was analyzed using IBM SPSS version 22.0 and the statistical significance was set at p<0.05. Relevant descriptive and inferential statistics were calculated and results were presented in frequency tables. \u0000Results: Urban respondents were older (mean age 31.07±6.115 years) than their rural counterparts (mean age 30.69±6.312 years). The difference in the mean ages was not statistically significant (p=0.401). Urban respondents were significantly better prepared during their last pregnancy than rural respondents (p=0.022). The majority of respondents in both rural (n=288, 76.8%) and urban areas (n=296, 78.9%) utilized health facilities as a place of delivery during their last pregnancy; the difference was not statistically significant. \u0000Conclusion: Disparities existed in this study between rural and urban areas in the practice of birth preparedness. This calls for more health education interventions to increase the practice of birth preparedness in rural areas, having an ideal birth plan, which targets health facility delivery. \u0000Keywords: Birth preparedness; practice; place of delivery; utilization of skilled birth attendance.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"87 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life among drug-resistant tuberculosis patients on treatment in SouthWest Nigeria","authors":"J. Bamidele, O. Abiodun, K. Sodeinde, T. Bitto, A. Alabi, Callistus A. Akinleye, O. Adejumo, Olusoji Daniel","doi":"10.4314/ahs.v24i2.9","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.9","url":null,"abstract":"Background: Drug-resistant tuberculosis (DR-TB) continues to be a public health concern. Several factors, including the disease itself, affect the quality of life of DR-TB patients. This study aimed to assess the quality of life (QOL) and associated factors of drug-resistant tuberculosis patients in Nigeria. \u0000Methods: A cross-sectional study of 165 participants using an interviewer-administered 26-item World Health Organization Quality of life Brief version (WHOQOL-BREF) tool. Two questions assessed overall quality of life and general health while twenty-four questions assessed the physical, social, psychological and environmental domains of QOL. Continuous variables were summarized using means, standard deviations while association between categorical variables were analyzed using Chi-square test. Binary logistic regression model assessed the predictors of QOL with statistical significance at p<0.05 \u0000Results: Mean age was 35.63 ± 11.36. The overall quality of life was 3.96±0.82. The environmental domain had the highest mean quality of life (64.9±14.6), while the physical domain had the lowest (59.2±11.2). Marital status, family size, and support from the TB programme were associated with a good QOL. \u0000Conclusion: Overall quality of life was good. Continued financial and social support for drug-resistant tuberculosis patients on treatment by the national tuberculosis control programme is recommended. \u0000Keywords: Drug-resistant tuberculosis; quality of life; Nigeria.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise tolerance and fatigue response to aerobic versus resisted exercise among hemodialysis patients","authors":"Shehab M Abd E-Kader, Neveen Refaey, Afnan M AlKhateeb, Saad S AlFawaz, Ziyad A Neamatallah, Umar M Alabasi, Amer Alsaif, Riziq Allah Mustafa Gaowgzeh, Salwa R El-Gendy, Mohamed F El- Banna, H. Embaby, Fatma A Hegazy, Rasha M Hegazy, Khaled M Mounir, Saif Mehmed, Mohamed Y Abdelsamee, Ahmed M Aboeleneen","doi":"10.4314/ahs.v24i2.42","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.42","url":null,"abstract":"Background: Hemodialysis (HD) patients usually suffer from exercise intolerance. However, exercise training improves their exercise tolerance and quality of life. \u0000Objective: This study was designed to compare the effects of aerobic and resisted exercise on exercise tolerance and fatigue response in hemodialysis patients. \u0000Methods: Fifty-six sedentary patients with CKD were recruited from the dialysis unit of the King Abdulaziz University Teaching Hospital (Jeddah, Saudi Arabia). Participants were allocated randomly into two study groups; group (A) received intradialytic aerobic exercise training on cycle ergometers. However, group (B) received intradialytic resisted exercise training for six months. \u0000Results: There was a 30.05 % reduction in mean values of MFI total score and 32.04 % and 32.13 % increase in mean values of hand grip strength and six-minute walking test respectively in group (A). While, there was a 16.78 % reduction in mean values of MFI total score and 17.35 % and 16.20 % increase in mean values of hand grip strength and six-minute walking test respectively in group (B). In addition, the differences between both groups were significant at the end of the study. \u0000Conclusion: Aerobic exercise alleviates fatigue and improves exercise tolerance more effective than resistance exercise among hemodialysis patients. \u0000Keywords: Aerobic exercise; exercise tolerance; fatigue; hemodialysis; resistance exercise.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"70 s288","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the under-five malaria risk in Uganda based on the nearest neighbour matched analysis technique","authors":"Charles Natuhamya","doi":"10.4314/ahs.v24i2.20","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.20","url":null,"abstract":"Introduction: Malaria still remains a global burden especially in the under-five despite efforts made towards reducing it. The most recommended vector control methods are; use of insecticide treated nets (ITNs) or long lasting insecticide nets (LLINs) and use of indoor residual spraying (IRS). However, these innovations may not have the same effect on malaria risk in the under-five. This study therefore aimed at assessing; the effect of ITNs/LLINs on malaria risk, the effect of IRS on malaria risk, and the effect of ITNs/LLINs on IRS, using nearest neighbours matched analysis. \u0000Methods: Nearest neighbour matched analysis was used to match the treated and control units by taking each treated unit and searching for the control unit with the nearest neighbours without replacement. \u0000Results: The results revealed a significant and negative effect of ITNs/LLINs and IRS on malaria risk [ATET=-0.05; 95% CI= -0.07 – -0.02] and [ATET=-0.12; 95% CI= -0.15 – -0.09] respectively. It also found a significant and positive effect of ITNs/LLINs on IRS [ATET=0.03; 95% CI= 0.01 – 0.05]. \u0000Conclusions: The implementation of policies and programs towards effective use of ITN/LLIN and IRS can reduce the burden of under-five malaria in Uganda. \u0000Keywords: Indoor residual spraying; insecticide treated nets; long lasting insecticide nets; Malaria; nearest neighbour matching; treatment effects; Uganda.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"131 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of unmet need for family planning and unintended pregnancies among women of reproductive age living with HIV in sub-Saharan Africa: a systematic review and meta-analysis","authors":"Hafidha M Bakari, O. Alo, Mariam S Mbwana, Swalehe M Salim, Emilie Ludeman, Taylor Lascko, Habib O Ramadhani","doi":"10.4314/ahs.v24i2.6","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.6","url":null,"abstract":"Introduction: Family planning is an effective intervention for women living with HIV who do not desire to have children to reduce vertical transmission and infant- and pregnancy-related mortality. \u0000Objectives: We aimed to evaluate the prevalence of unmet need for family planning (UFP) and unintended pregnancies among women living with HIV in sub-Saharan Africa. \u0000Methods: This was a systematic review that searched databases from March 2007 to December 2021. UFP was defined as women who were sexually active and did not desire to have additional children (unmet need for limiting), or who delayed their next pregnancy (unmet need for spacing) but were not using any contraception. Unintended pregnancies were defined as women who reported that their last pregnancy was unintended. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI). \u0000Results: Total of 35 articles were included. Overall, the pooled prevalence of UFP was 30.1% (95%CI, 26.4–33.9). The pooled prevalence of unmet need for spacing was 11.9% and 14.2% for limiting.. The pooled prevalence of unintended pregnancy was 16.5% (95%CI, 9.4–25.1). \u0000Conclusion: Three in ten women of reproductive age living with HIV in Africa have UFP. Efforts to prevent unsafe abortions from unintended pregnancies are needed to minimize the UFP. \u0000Keywords: Unmet need for family planning; women living with HIV; un intended pregnancy; sub-Saharan Africa.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"130 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphology and morphometry of the transverse foramina of cervical vertebrae in an adult Kenyan population: a radiological study","authors":"Khulud Nurani, Pamela M Idenya, James Kigera, Philip M Mwachaka","doi":"10.4314/ahs.v24i2.38","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.38","url":null,"abstract":"Background: Transverse foramina are canals in cervical transverse processes transmitting the vertebral vessels and the accompanying sympathetic plexus. These foramina exhibit side, sex and population specific variations such as those of size, shape and number. Knowledge of these variations is important for cervical surgical procedures and prediction of vertebral artery variations. \u0000Objective: To describe the morphology and morphometry of cervical transverse foramina in an adult Kenyan population. \u0000Methods: Ninety-four neck CT scan images of 2 mm slice thickness in axial view were used to assess presence, number, completeness and shape of transverse foramina. Antero-posterior and transverse lengths were measured using NeusoftTM software. Paired and independent t-tests were used to compare morphometric parameters for side and sex respectively. One-way ANOVA was used to determine differences in foramina down the cervical spine. A p-value of ≤ 0.05 was considered significant. \u0000Results: Transverse foramina had a prevalence of 98.78% with 3.64% being duplicated. They were identified as type 1 (circular), type 2 (elongated antero-posteriorly), type 3 (elongated transversely), type 4 (oblique left-right elongation) and type 5 (oblique right-left elongation) in 69.62%, 3.62%, 13.38%, 7.23% and 6.15% respectively. 0.46% foramina were incomplete and 3.19% constricted. Diameters on the right were larger than left. C1 foramina were the largest and C7 smallest. The diameters decreased from C2 to C3 then increased to C6. \u0000Conclusion: Transverse foramina display side and level dependent variations. This is of clinical importance to spine surgeons to prevent intraoperative damage of vertebral vessels when operating in the cervical region. \u0000Keywords: Morphology and morphometry; transverse foramina; cervical vertebrae; in Kenyan Population; a radiological study.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"136 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of COVID-19-induced lockdowns on Antiretroviral-Therapy (ART) adherence by HIV/AIDs patients on ART in the city of Bulawayo in Zimbabwe","authors":"Jamela Mjabuli, Özdal Macide Artac","doi":"10.4314/ahs.v24i2.4","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.4","url":null,"abstract":"Background: Zimbabwe has one of the highest HIV prevalence rates in the world. HIV treatment was initiated in 2004 and expanded to 94% coverage rate by the 2020. \u0000Objectives: i) to determine the level of treatment adherence during COVID-19-induced lockdowns and ii) to investigate the key determinants of adherence to ART during COVID-19-induced lockdowns. \u0000Methods: The cross sectional study involved 392 people living with HIV (PLHIV) and was conducted at nine health facilities in Bulawayo City. Data was analysed using the Shapiro-wilk test for normality, Chi-squared test, Kaiser-Meyer-Olkin (KMO), Bartlett's test, exploratory factor analysis, reliability analysis, scree plot, correlation analysis and multiple linear regression analysis. \u0000Results: 94.6% of the respondents took their ARTs on time, and 90.6% did not miss any treatment review. The factors influencing treatment adherence were health systems (beta value 0.334), Family support (beta value 0.138) and knowledge/understanding of treatment (beta value 0.109). Health outcome concerns (beta value -0.194) and food security and livelihoods (beta value 0.191). \u0000Conclusion: Three factors had a positive impact on treatment adherence namely, functional health systems, family support, and knowledge or understanding of health treatment, while two factors namely health outcome concerns and food security and livelihoods negatively impacted treatment adherence. \u0000Keywords: Impact of COVID-19-induced lockdowns; HIV/AIDs patients; Bulawayo; Zimbabwe.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"59 1‐2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phytochemical profiling and acute oral toxicity of Suregada zanzibariensis (Baill) root extract","authors":"Japhet Kimondo Josephat, Cyprian Beda Mpinda, Rose Justus Masalu","doi":"10.4314/ahs.v24i2.15","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.15","url":null,"abstract":"Background: Traditional healers utilize the roots of Suregada zanzibariensis for managing diabetes mellitus. Therefore, evaluation of toxic properties of this plant is important. \u0000Objective: To evaluate acute oral toxicity of S. zanzibariensis root extract on Wistar rats and to screen phytochemical compounds of the EAESZ. \u0000Methods: GCMS analysis of the plant extracts were performed by using GCMS-2010 Shimadzu and mass spectra of the compounds found in the extract was matched with the data in the library of National Institute of Standards and Technology (NIST). Acute oral toxicity testing was carried by administering a single Distilled water extract (DWESZ) and EAESZ to four different groups of rats at dosage of 300mg/kg and 2000mg/kg in each extract to the separately group of rats \u0000Results: The GC-MS analysis of S. zanzibariensis roots extract revealed the presence of 10 major compounds. A higher single dose (2000mg/Kg) of EAESZ and DWESZ extract did not produce any sign of toxicity throughout 14 days of study, in terms of changes in behaviour or mortality in tested rats. No significant (p > 0.05) hematological, liver histological, biochemical changes were noticed between rats treated and control rats \u0000Conclusion: The results obtained suggest that the plant extract can be classified as non-toxic. \u0000Keywords: Phytochemical profiling; acute oral toxicity; Suregada zanzibariensis (Baill) root extract.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"133 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of spousal involvement in breastfeeding among women attending infant welfare clinic in a private Tertiary Health Institution in Ogun State, Nigeria","authors":"K. Sodeinde, O. Abolurin, Olaitan Adeyoola, Idongesit Ekpo, Ashley Eto-Ihekwaba, Anuoluwapo Mabogunje, Ginikachukwu Ogbuehi, Ifeanyichukwu Ogbuiyi-chima, Tolulope Ogunsanya","doi":"10.4314/ahs.v24i2.34","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.34","url":null,"abstract":"Background: Men’s support improve breastfeeding practices. However, male involvement in breastfeeding practices is low, particularly in middle-and-low-income countries. \u0000Objective: This study assessed the perception of spousal involvement in breastfeeding among women attending infant welfare clinic in a private tertiary hospital in Ogun State, Nigeria. \u0000Methods: This descriptive cross-sectional research was conducted among 330 mothers. Data were collected using structured interviewer-administered questionnaire and analyzed using SPSS Version 22. Spousal involvement was assessed through the report of engagements of their husbands in 9 different activities. Those who participated in at least 5 and fewer than 5 activities were regarded as good and poor involvements respectively. Data were summarized using mean and standard deviation. Logistic regression was used to assess factors associated with perceived male involvement. P < 0.05 was statistically significant. \u0000Results: Mean age of participants was 32.3±6.5 years. Most (88.2%) of them reported that their husbands were involved in decision-making concerning breastfeeding. Women with monogamous relationships, who had tertiary education, and who were Christians were more likely to report good spousal involvement in breastfeeding. \u0000Conclusion: Educated women in monogamous relationships were better supported by their spouses. There is need for women’s education and general empowerment to ensure better breastfeeding practices. \u0000Keywords: Spousal involvement; breastfeeding; infant welfare clinic; Ogun State; Nigeria.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"44 s153","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}